go back

Nuclear Scan For Stomach-Type Lining In The Bowel

Ohio rates for HCPCS 78261

An imaging test in which a small amount of radioactive tracer is injected into a vein and taken up by stomach-type lining tissue. A camera then shows whether such tissue is sitting somewhere outside the stomach, a well-known cause of unexplained bleeding from the bowel in children and young adults.

Rates data updated October 2026.

How much does Nuclear Scan For Stomach-Type Lining In The Bowel cost?

$209

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $891 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$186 to $263
FacilityA hospital or hospital-owned outpatient department$891$631 to $1,122

How much rates vary

Facilitymedian $891 · 10th to 90th $537 to $1,380Professionalmedian $204 · 10th to 90th $148 to $355
$50$100$200$500$1Kfacility $891professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$851.14
Typical High
$1,122.02
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$144.54
Median
$398.11
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$891.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$26.92
Typical High
$144.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$144.54
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$190.55
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$37.15
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$158.49
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$776.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$234.42
Typical High
$575.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$37.15
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$199.53
Typical High
$478.63
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$776.25
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$239.88
Typical High
$575.44
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$37.15
Typical High
$81.28
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$199.53
Typical High
$478.63
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$204.17
Typical High
$295.12
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$234.42
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$954.99
Typical High
$1,348.96
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$234.42
Typical High
$489.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$35.48
Typical High
$77.62
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$199.53
Typical High
$416.87
6 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$295.12
Typical High
$562.34
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$117.49
Typical High
$223.87
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$144.54
Median
$467.74
Typical High
$831.76
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$426.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$33.88
Typical High
$169.82
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$134.90
Median
$134.90
Typical High
$562.34

Where Ohio sits

The same service costs 4.4 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 43rd of 51

$209

AK $741TX $170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.